Runny nose after adenoid removal
The lymphatic tissue of the tonsils that grows in the nasopharynx is called adenoids. The body needs them to protect against infection. Sometimes, even in childhood, doctors recommend removing the adenoids to improve the functionality of the nasopharynx; this operation is called adenotomy.
Table of contents:
- Runny nose after adenoid removal
- Features of adenotomy
- Rehabilitation period
- Causes of a runny nose after adenoid removal
- Relapse
- Special breathing exercises
- Diet food
- Runny nose after adenoid removal
- Runny nose and adenoids - what parents need to know about it
- Causes of a runny nose due to enlargement of the nasopharyngeal tonsil
- Why there may be snot after surgery
- The appearance of a runny nose and reflex cough is a sign of re-growth of adenoids
- Features of adenotomy
- Rehabilitation period
- Causes of a runny nose after adenoid removal
- Relapse
- Special breathing exercises
- Diet food
- Doctor's recommendations on what to do after adenoid removal
- Immediately after surgery
- Nutrition
- ⛄ Ice cream through the eyes of a doctor
- Possible complications
- Temperature
- Cough after adenoid removal
- ENT, otitis media, runny nose
- Possible consequences
- General recommendations
- Infographics
It often happens that a runny nose returns after removal of the adenoids. Why this happens and what to do in such cases, we will consider in the article.
Features of adenotomy
During an infectious disease, the lymphatic tissue of the tonsils grows. This happens as a protective reaction to the presence of pathogens. If a child gets sick too often, the adenoids enlarge so much that they block the nasal passages and insufficient air enters the body.
As a result, oxygen starvation develops, which negatively affects the baby’s well-being and development. The child becomes lethargic, inactive, and becomes irritable and absent-minded. Appetite worsens, sleep is disturbed.
A significant increase in adenoids leads to the fact that the baby increasingly suffers from infectious diseases due to the fact that the nasal passages are blocked and the mucous membrane cannot join in the fight against microbes.
In addition, the lack of normal breathing contributes to the formation of malocclusion and the so-called “adenoid face.” After all, in a child, the mouth is open all the time, the drooping jaw becomes narrower and slightly longer than usual.
A pediatrician will never recommend adenotomy if it is not necessary. Remember that if the problem is not eliminated, colds will become constant companions of your children.
Rehabilitation period
After the operation, the child can be taken home within an hour. Adenotomy is performed quickly, under local anesthesia and does not pose any danger to the baby. Upon arrival home and in the next few days, be sure to follow the following recommendations:
- Stick to a healthy diet. For the first 10 days, it is advisable for the child to take liquid, but high-calorie food.
- Avoid overheating. It is not recommended to bathe your baby in hot water for the first 3 days after surgery. It is also not advisable to be outside or in stuffy rooms on hot days.
- Avoid physical activity. At the very least, ask to exempt your child from physical education if he goes to school or kindergarten.
- Use vasoconstrictor and healing drugs. To help wounds heal faster, drops such as Nazivin, Xymelin, Collargol, Poviargol, etc. are prescribed.
- Do not use medications containing aspirin. At first after adenotomy, the baby’s body temperature may rise above 38 degrees. Choose antipyretics without aspirin, because... it provokes bleeding.
- Do not be afraid of vomiting. During surgery, blood may enter the stomach and cause nausea or vomiting. Don't worry, this phenomenon is temporary and not dangerous.
- Do not be upset that after removal of the adenoids you may experience snoring, nasal sounds, or nasal congestion. This is due to post-operative swelling, as soon as it goes away, the symptoms will disappear.
- React to minor bleeding. The bleeding stops within 20 minutes after adenotomy. If ichor or blood continues to be released, do not delay visiting an ENT specialist.
It is necessary to adhere to these recommendations to avoid complications and relapses. If there is additional advice from a doctor, listen, your child’s future health depends on it.
Causes of a runny nose after adenoid removal
If all symptoms of adenoid proliferation disappear within 2 weeks, then the operation is considered successful. If you have a runny nose after adenotomy, this is normal. During the first 10 days after surgery, snot may be present; it appears due to swelling in the nasopharynx. A runny nose may be accompanied by nasal congestion, snoring and squelching sounds. These phenomena will soon pass and rhinitis will also disappear.
After removal of the adenoids, a runny nose also occurs because the nasopharynx is freed from excess lymphatic tissue of the adenoids and accumulated mucus flows out of the nasal sinuses. Previously, the inflammatory process in the tonsils did not allow snot to freely leave the nasal passages; after the operation, the situation will change radically.
It’s another matter when, on the 14th day after surgery, mucus continues to be released. In this case, a complication is possible, here are its key signs:
- Increased symptoms.
- The appearance of green snot.
- Increased body temperature.
- The appearance of bad breath.
These signs indicate the development of a bacterial or viral infection or an exacerbation of an allergic reaction. If these symptoms occur, you should seek medical help immediately. Otherwise, unwanted serious complications are possible and, as a result, a serious threat to your child’s health.
Such consequences can be avoided if you adhere to the following rules:
- Do not use concentrated saline solutions to rinse the nasopharynx after surgery.
- Do not use alkaline preparations for inhalation and rinsing frequently.
- Do not overuse antiseptics, antibiotics and menthol-based medications, especially in the form of tablets that need to be dissolved. They can aggravate the situation and cause superinfection. That is, antibiotic-resistant strains of pathogenic bacteria.
In addition to complications, chronic rhinitis can cause re-growth of adenoid tissue.
Relapse
Recurrence of adenoiditis is possible. Watch your child carefully so as not to miss this moment. A relapse can occur for the following reasons:
- Failure to comply with the recommendations of the attending physician;
- Allergies or other chronic diseases, against the background of which the tonsils have re-proliferated.
- Genetic predisposition to the development of adenoids.
- Age of the child being operated on (under 3 years old).
- Incomplete removal of hypertrophied lymphatic tissue of the tonsils.
- Weakened immunity.
- Chronic form of bronchial asthma.
- Deviated septum in the nose.
After adenotomy, the child not only needs more careful care, but also needs to respond to any changes in his condition. You can avoid relapse and complications thanks to special breathing exercises and diet.
Special breathing exercises
Gymnastics is indicated a week after adenotomy; it will help save from possible complications and relapse. The exercises should be performed every day for 14 days. You need to inhale and exhale smoothly, without sudden movements. When increasing the load, exhale, when weakening, inhale.
Gymnastics is carried out to train breathing:
- Abdominal - you need to breathe with your stomach. That is, inhale and exhale using the abdominal muscles.
- Chest - try to inhale deeply and exhale with your lungs. So that when you inhale, the chest rises, and when you exhale, it falls.
- Complete - to combine the first and second wind. Maximum participation of the chest and abdominal muscles is expected.
Gymnastics is performed in three approaches at a time. If the child complains of deterioration in health, classes can be interrupted for several days until the child’s body gets stronger.
Diet food
Malnutrition after adenotomy can cause undesirable consequences. A child accustomed to a different regime will be capricious, but it is important to understand that by indulging his whims, you can spend much more time restoring the body and get into additional troubles.
The diet is designed for 14 days. At this time, there is a high probability of the disease returning and complications arising due to damage to the tonsil tissue in the nasopharynx. While they heal, it is first advisable to give up solid and spicy foods. It is also prohibited to eat the following foods after adenotomy:
- Very sour vegetables and fruits.
- All kinds of canned food.
- Sweets.
- Marinades and home preserves.
Most of all, you should refrain from eating sweets. They contain a lot of sugar, which creates a favorable environment for the proliferation of harmful bacteria.
Products recommended for use in the postoperative period:
- Steamed dishes.
- Porridge (especially semolina and oatmeal).
- Lean meat broths.
- Puree of vegetables and fruits.
- Herbal decoctions.
The correct regimen during the rehabilitation period will help avoid unpleasant consequences.
Source: http://elaxsir.ru/zabolevaniya/rinit/posleadenotomiinasmork.html
Runny nose after adenoid removal
A persistent runny nose and reflex cough are often the first signs of inflammation and progressive proliferation of the adenoids
Constant nasal congestion and prolonged mucous discharge from the nose (runny nose) are considered the most common signs of adenoids in a child. In case of pronounced growth of the nasopharyngeal tonsil, worsening complaints and lack of effectiveness of conservative treatment methods, the doctor prescribes an operation during which the lymphoid tissue of the nasopharynx is completely removed.
Of course, parents expect that chronic snot after adenoid removal will disappear immediately after adenotomy. But, unfortunately, this does not always happen, so you need to know the reasons for the appearance of a runny nose before and after surgery, warning signs and features of getting rid of this unpleasant symptom.
Runny nose and adenoids - what parents need to know about it
Adenoids or pharyngeal tonsil is an important part of the lymphoid apparatus of the pharynx. These structures protect the respiratory tract from various aggressive environmental factors.
The nasopharyngeal tonsil begins its barrier function immediately after the baby is one year old and until the age of 5-7 years they are the main filter against infection. Therefore, viruses and pathogenic microorganisms that cause acute respiratory diseases often provoke inflammation of the adenoids or their proliferation.
It should be noted that earlier otolaryngologists treated the removal of adenoids as a routine procedure, but today this organ has achieved a more careful attitude towards itself. But it should still be recognized that quite often the adenoids acquire a porous structure, which, like a sponge, absorbs a maximum of microbes, dust particles, allergens, turns out to be a weak link and requires removal (see Is the removal of adenoids justified).
Nasal congestion, reflex cough, runny nose and adenoids are parts of one pathological process, as well as signs of adenoiditis and/or hypertrophy of the nasopharyngeal tonsil.
A constant runny nose with adenoids most often has an infectious-allergic nature
The appearance of a prolonged runny nose in a child over a year old is considered the first sign of an active reaction of the lymphoid tissue of the nasopharynx to inflammatory or allergic processes that are triggered by infectious agents or allergens.
Causes of a runny nose due to enlargement of the nasopharyngeal tonsil
A runny nose almost always occurs due to adenoids. Therefore, attentive parents should know that adenoids and runny nose are a serious problem that can be successfully treated in the early stages of growth, but under certain conditions and indications it requires a balanced approach, careful diagnosis and timely surgical intervention in the event of complications and progressive growth.
The decision on the need for surgery is made by the attending physician, a pediatric otolaryngologist (pictured)
One of the indications for the removal of adenoids is considered to be prolonged mucopurulent discharge from the nose, night snoring and significant difficulty in nasal breathing, provoked by the development of purulent adenoiditis and/or sinusitis.
This is dangerous due to the constant presence of a source of chronic infection in the nasopharynx, as well as the appearance of persistent hearing impairment associated with blocking of the mouths of the auditory tubes by overgrown tissue and other serious purulent complications (recurrent otitis media, bronchitis, damage to the eyes, heart, kidneys, joints).
Why there may be snot after surgery
Elimination of all symptoms of proliferation of adenoid tissue in the nasopharynx after surgery indicates a successful adenotomy. But at the same time, parents should know that a runny nose after removal of the adenoids may bother the child for 10 days and this is normal.
The reason for its appearance is the development of postoperative edema in the nasal cavity. Therefore, a nasal sound appears and squelching is heard against the background of a general improvement in the child’s condition after the removal of adenoid growths. These symptoms gradually decrease and the runny nose stops.
In addition, the reason that after removal of the adenoids the baby’s runny nose temporarily intensifies is considered to be better outflow (drainage) of mucus from the paranasal sinuses. Stagnant mucus begins to leave the sinuses, and inflammation, which has long disrupted its outflow from the nasal passages, gradually subsides.
The duration of a runny nose after removal of the adenoids should not exceed 10 - 14 days with mandatory positive dynamics
And yet, it is possible that complications may arise after adenotomy, and you need to know their signs.
These include:
increased runny nose and nasal congestion within 7-10 days after the operation; bad breath; green snot after adenoid removal; the appearance of general weakness and fever; the duration of these pathological signs is more than 2 weeks.
These symptoms may indicate the addition of a severe bacterial infection, the layering of a viral disease, or the chronic course of an infectious-allergic inflammation. Therefore, it is necessary to closely monitor the child’s condition after surgery and immediately consult an otolaryngologist if various pathological symptoms appear - the cost of delay in this case is too high and can provoke serious consequences for the child’s health.
To avoid complications after surgery, it is necessary to fully follow all the recommendations of the attending physician:
adherence to a daily routine and diet immediately after surgery; instructions for taking medications; timely appointment of physiotherapeutic procedures.
Not recommended in the postoperative period:
abuse the dissolution of tablets with antiseptics, menthol and antibiotics - they can cause the occurrence of resistant forms of infection and at the same time irritate the nasopharyngeal mucosa; carry out steam inhalations with alkaline agents and often gargle with them; use too concentrated saline solutions to rinse the nose and gargle.
Breathing exercises and proper nutrition are the way to a speedy and complete recovery of the child after surgery. The video will tell you about the basic techniques of breathing exercises after removal of the adenoids.
The appearance of a runny nose and reflex cough is a sign of re-growth of adenoids
Recurrence of the disease or re-growth of lymphoid tissue in the nasopharynx is possible, so you need to carefully monitor the appearance of repeated symptoms of adenoids in the child.
Possible reasons for the re-growth of adenoid vegetations include:
incomplete extraction of adenoids during surgery - new tonsils are often formed from the remainder of the lymphoid tissue; age of adenotomy is less than 3 years; heredity – a tendency to increased proliferation of lymphadenoid tissue in parents and close relatives; the presence of allergies or underlying diseases, more often lymphatic-hypoplastic diathesis or endocrinopathies; failure to comply with the recommendations of the attending physician after adenotomy.
If, after removal of the adenoids, snot, severe nasal congestion, night snoring and reflex cough appear several months after the adenotomy and become long-lasting, you need to consult an ENT doctor. A complete comprehensive examination of the child will allow us to find out the causes of a runny nose.
Only a specialist can answer what to do if adenoids recur
In addition to recurrence of adenoid growths, a prolonged runny nose after a certain time after surgery can be caused by a decrease in the local immunological barrier in the nasopharynx. This provokes the occurrence of protracted and even chronic inflammatory processes, often of an infectious-allergic nature: rhinitis, sinusitis, nasopharyngitis.
hypertrophic processes in the nasopharynx; deformation of the nasal septum; disorders of the bronchopulmonary system; persistent changes in the body's immunological reactivity.
Monitoring the health of the nasal cavity and nasopharynx and the course of acute inflammatory diseases in children after adenotomy should be carried out jointly by a pediatrician and a pediatric otolaryngologist. This will help you choose the right treatment tactics and timely correction under the control of the condition of the structures of the nasopharynx, nasal cavity and paranasal sinuses.
The appearance of mucous discharge from the nose after surgery to remove adenoids may be normal, but also indicate the addition of complications, the accumulation of viral diseases, or be a sign of relapse of the disease. Therefore, it is necessary to carefully monitor any changes in the child’s health status and promptly consult a specialist.
The lymphatic tissue of the tonsils that grows in the nasopharynx is called adenoids. The body needs them to protect against infection. Sometimes, even in childhood, doctors recommend removing the adenoids to improve the functionality of the nasopharynx; this operation is called adenotomy. It often happens that a runny nose returns after removal of the adenoids. Why this happens and what to do in such cases, we will consider in the article.
Features of adenotomy
During an infectious disease, the lymphatic tissue of the tonsils grows. This happens as a protective reaction to the presence of pathogens. If a child gets sick too often, the adenoids enlarge so much that they block the nasal passages and insufficient air enters the body.
As a result, oxygen starvation develops, which negatively affects the baby’s well-being and development. The child becomes lethargic, inactive, and becomes irritable and absent-minded. Appetite worsens, sleep is disturbed.
A significant increase in adenoids leads to the fact that the baby increasingly suffers from infectious diseases due to the fact that the nasal passages are blocked and the mucous membrane cannot join in the fight against microbes.
In addition, the lack of normal breathing contributes to the formation of malocclusion and the so-called “adenoid face.” After all, in a child, the mouth is open all the time, the drooping jaw becomes narrower and slightly longer than usual.
Parents, as a rule, try to avoid surgical intervention. They look for homeopathic remedies and use them in the hope that they will be able to eliminate the overgrown tonsil tissue in the nasopharynx.
A pediatrician will never recommend adenotomy if it is not necessary. Remember that if the problem is not eliminated, colds will become constant companions of your children.
Rehabilitation period
After the operation, the child can be taken home within an hour. Adenotomy is performed quickly, under local anesthesia and does not pose any danger to the baby. Upon arrival home and in the next few days, be sure to follow the following recommendations:
Stick to a healthy diet. For the first 10 days, it is advisable for the child to take liquid, but high-calorie food. Avoid overheating. It is not recommended to bathe your baby in hot water for the first 3 days after surgery. It is also not advisable to be outside or in stuffy rooms on hot days. Avoid physical activity. At the very least, ask to exempt your child from physical education if he goes to school or kindergarten. Use vasoconstrictor and healing drugs. To help wounds heal faster, drops such as Nazivin, Xymelin, Collargol, Poviargol, etc. are prescribed. Do not use medications containing aspirin. At first after adenotomy, the baby’s body temperature may rise above 38 degrees. Choose antipyretics without aspirin, because... it provokes bleeding. Do not be afraid of vomiting. During surgery, blood may enter the stomach and cause nausea or vomiting. Don't worry, this phenomenon is temporary and not dangerous. Do not be upset that after removal of the adenoids you may experience snoring, nasal sounds, or nasal congestion. This is due to post-operative swelling, as soon as it goes away, the symptoms will disappear. React to minor bleeding. The bleeding stops within 20 minutes after adenotomy. If ichor or blood continues to be released, do not delay visiting the ENT specialist.
It is necessary to adhere to these recommendations to avoid complications and relapses. If there is additional advice from a doctor, listen, your child’s future health depends on it.
Causes of a runny nose after adenoid removal
If all symptoms of adenoid proliferation disappear within 2 weeks, then the operation is considered successful. If you have a runny nose after adenotomy, this is normal. During the first 10 days after surgery, snot may be present; it appears due to swelling in the nasopharynx. A runny nose may be accompanied by nasal congestion, snoring and squelching sounds. These phenomena will soon pass and rhinitis will also disappear.
After removal of the adenoids, a runny nose also occurs because the nasopharynx is freed from excess lymphatic tissue of the adenoids and accumulated mucus flows out of the nasal sinuses. Previously, the inflammatory process in the tonsils did not allow snot to freely leave the nasal passages; after the operation, the situation will change radically.
It’s another matter when, on the 14th day after surgery, mucus continues to be released. In this case, a complication is possible, here are its key signs:
Increased symptoms. The appearance of green snot. Increased body temperature. The appearance of bad breath.
These signs indicate the development of a bacterial or viral infection or an exacerbation of an allergic reaction. If these symptoms occur, you should seek medical help immediately. Otherwise, unwanted serious complications are possible and, as a result, a serious threat to your child’s health.
Such consequences can be avoided if you adhere to the following rules:
Do not use concentrated saline solutions to rinse the nasopharynx after surgery. Do not use alkaline preparations for inhalation and rinsing frequently. Do not overuse antiseptics, antibiotics and menthol-based medications, especially in the form of tablets that need to be dissolved. They can aggravate the situation and cause superinfection. That is, antibiotic-resistant strains of pathogenic bacteria.
In addition to complications, chronic rhinitis can cause re-growth of adenoid tissue.
Relapse
Recurrence of adenoiditis is possible. Watch your child carefully so as not to miss this moment. A relapse can occur for the following reasons:
Failure to comply with the recommendations of the attending physician; Allergies or other chronic diseases, against the background of which the tonsils have re-proliferated. Genetic predisposition to the development of adenoids. Age of the child being operated on (under 3 years old). Incomplete removal of hypertrophied lymphatic tissue of the tonsils. Weakened immunity. Chronic form of bronchial asthma. Deviated septum in the nose.
After adenotomy, the child not only needs more careful care, but also needs to respond to any changes in his condition. You can avoid relapse and complications thanks to special breathing exercises and diet.
Special breathing exercises
Gymnastics is indicated a week after adenotomy; it will help save from possible complications and relapse. The exercises should be performed every day for 14 days. You need to inhale and exhale smoothly, without sudden movements. When increasing the load, exhale, when weakening, inhale.
Gymnastics is carried out to train breathing:
Abdominal - you need to breathe with your stomach. That is, inhale and exhale using the abdominal muscles. Chest - try to inhale deeply and exhale with your lungs. So that when you inhale, the chest rises, and when you exhale, it falls. Complete - to combine the first and second wind. Maximum participation of the chest and abdominal muscles is expected.
Gymnastics is performed in three approaches at a time. If the child complains of deterioration in health, classes can be interrupted for several days until the child’s body gets stronger.
Diet food
Malnutrition after adenotomy can cause undesirable consequences. A child accustomed to a different regime will be capricious, but it is important to understand that by indulging his whims, you can spend much more time restoring the body and get into additional troubles.
The diet is designed for 14 days. At this time, there is a high probability of the disease returning and complications arising due to damage to the tonsil tissue in the nasopharynx. While they heal, it is first advisable to give up solid and spicy foods. It is also prohibited to eat the following foods after adenotomy:
Very sour vegetables and fruits. All kinds of canned food. Sweets. Marinades and home preserves.
Most of all, you should refrain from eating sweets. They contain a lot of sugar, which creates a favorable environment for the proliferation of harmful bacteria.
Products recommended for use in the postoperative period:
Steamed dishes. Porridge (especially semolina and oatmeal). Lean meat broths. Puree of vegetables and fruits. Herbal decoctions.
The correct regimen during the rehabilitation period will help avoid unpleasant consequences.
We had our adenoids removed 2 weeks ago. We were freed from the pool for 1 month, that’s understandable. But the doctor who performed the operation said that people who regularly swim professionally often have ENT health problems, with the nose in particular. And he gave us advice not to go swimming, as there will be a constant runny nose, etc. (especially after removal of the adenoids). To be honest, this is the first time I’ve heard that children...
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Girls, more than a month has passed since my adenoids were removed. Well, what can I say, I'm satisfied. They caught the virus in the garden, of course. But! The runny nose went away quickly! Like this. Happy upcoming holiday everyone. Health and success in NG!
Adenoids (tonsils) are defective changes in the pharyngeal tonsil. They usually occur after previous infections (measles, scarlet fever, influenza, diphtheria) or are hereditary defects. They are more common in children aged 3-10 years. Is your little one unable to get out of his snot and is constantly on sick leave? It is possible that the basis of health problems is the proliferation of the nasopharyngeal tonsil, others...
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Adenoids are an inflammatory disease in which the tissue of the nasopharyngeal tonsil grows. Most often, the growth of adenoids is observed in children aged 1.5-7 years. This pathology leads to many complications, so it is important to start treatment of adenoids in children on time. Let's consider the causes and symptoms of inflammation of the adenoids in children, as well as methods of treating this...
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For yourself, so as not to lose) WORLD OF HEALTH - ADENOIDSLarge adenoids? Let's fly! In normal conditions, adenoids in children are small lymphoid formations in the nasopharynx. This is normal immune tissue with the ability to produce immunoglobulins necessary for the normal functioning of the child’s body. However, as a result of repeated colds...
Hello my dears! I’ve been seething for days now, and I finally decided to speak out. The story is that we were referred for adenoid removal here http://www.baby.ru/blogs/post/79278/ And the background is this: I noticed that my son began to snore when he went to the garden and, accordingly, began to get sick. The most amazing thing is that he started getting sick not in the first two weeks after he started, but after the garden unexpectedly...
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Girls, I’m just whining, complaining, being indignant, and maybe I’ll get some advice from you. The child has chronic tonsillitis and hypertrophy of the right tonsil. for a long time. Now he is sick again. This time the temperature was high for one day (and this is just super-duper progress for us, we always get sick with a temperature of 40). Well, our eternal problem is a red throat. No cough, no runny nose, everything is as always. Three days ago I became...
We finally got to see an ENT specialist at our clinic! We made an appointment a month in advance, the doctor is good and I trust her. Not so long ago, at a paid clinic, we were referred to have adenoids removed - just like that, without examination or pictures. They came with complaints: Bogdan has a frequent, lingering runny nose with green snot and, as a result, speaks through his nose. Nadya - frequent acute respiratory infections as a result of otitis media (3 times in 6 months), breathing is difficult at night and...
They took a picture, grade 3 adenoids, an almost constant runny nose, my daughter snores at night, she has had a runny nose for six months now, and her hearing has decreased. The surgery date has already been set. Whose children had their adenoids removed, how did the operation go? How did the child recover from anesthesia? what diet was it? Do you get sick less after removal? In general, tell us everything. Of particular interest is the Filatov Hospital.
Everything is going to the point that we will soon have surgery. The child does not breathe through his nose, has a runny nose all the time, and sleep apnea. In general, this is terrible, I sincerely sympathize with everyone who has them! Now my questions are the following: 1. At what age was it removed? 2. How did your children cope with anesthesia and how did they recover from it? Were there any complications after the operation? Temperature, bleeding, etc? 3. How much...
We have been diagnosed with grade 2-3 adenoiditis for a long time and all our complications are a constant runny nose, otitis, there was even purulent otitis with surgery under general anesthesia. All types of adenoids... Wherever we have been, as soon as we are not treated, it’s as if everything is useless... A new cold and severe complications... Today we visited a good ENT specialist in our city, she told us not to torment the child and in our case, remove them... Due to otitis, it is reduced hearing……
We went to kindergarten in September, and it began... Endless snot, orz, orvi. In December, we had an operation (for a fee) to remove the adenoids and trim the tonsils using the shaver method (the clinic said that after such an operation the adenoids would never grow again). But everything hurts and hurts. Now again... snot, for 2 weeks now, but no fever. At night I began to feel out of breath again, which happens when things get really bad...
Today is the third day after removal. Our nose is stuffy, we have some kind of runny nose, naturally we were prescribed an antibiotic, we drink it. Yesterday some kind of clot of mucus jumped out of my nose, a big one. I'm honestly shocked. The voice is nasal. But what worries me more is a runny nose, is this how it should be?? Well, I understand the swelling, it hasn’t gone away yet, but the runny nose... confuses me. The temperature is still between 36.9 and 37.9 (
We have a runny nose all the time, we grunt in our sleep, we sleep on our stomach. I read that after removal they grow again. So what should we do?
Source: http://net-prostuda.ru/2017/10/28/posle-udaleniya-adenoidov-nasmork/
Doctor's recommendations on what to do after adenoid removal
At an early age, a child is prone to be exposed to a considerable number of serious diseases, many of which then develop into chronic diseases and provoke complications in the functioning of other organs. Most often this concerns ENT ailments and one of the most common is expressed as adenoid vegetations turning into adenoiditis.
✔ From a medical point of view, this is an inflammation of the nasopharyngeal tonsils, which makes itself felt systematically. It is characterized by certain manifestations and differs from the usual runny nose; in addition to difficulty breathing, there is often a slightly open mouth, snoring during sleep and inflammation of the associated organs.
In the course of diagnosing and identifying the causes of adenoiditis, in most cases it is recommended to perform surgery to remove the adenoids. The operation falls on the shoulders of doctors, but the postoperative period directly depends on compliance with the recommendations received by the parents.
Adenotomy is a minimally invasive operation
After removal of the adenoids, rehabilitation occurs quite quickly, and the child can soon return to his previous lifestyle without harm to his health.
Immediately after surgery
After the adenoids are removed, the child will be transferred from the operating room to the general ward, as monitoring of his condition will be available as part of a routine inpatient examination. The postoperative period proceeds differently for everyone, ❗ the main thing is to follow a regime that will help you recover faster and avoid long-term discomfort. The procedure to surgically remove the adenoids is called adenotomy. It takes no more than 30 minutes and is performed using anesthesia, the choice of which takes into account the recommendations of the attending physician, as well as the choice of removal method.
In the first days of recovery after surgery, the throat hurts, but this should not manifest itself in a pronounced form and drag on for a long time.
Nosebleeds after adenotomy
It is important to avoid inflammation of the larynx, wondering why it may occur, you need to pay attention to the position of the child immediately after removal of the adenoids. The position in which you need to recover for the first hours of the hospital should be on your side, with a towel placed near the mouth, so that it is convenient to control salivation and monitor whether blood appears in the saliva. To prevent possible unwanted bleeding, the doctor should perform a pharyngoscopy several hours after the main operation. It is recommended not to give your child antipyretic drugs, as this may provoke this process. ✋ At this point, the child should be cared for especially carefully, since strict bed rest is required after removal of the adenoids. Saliva may be released for some time even after being under the supervision of doctors, but this is normal if there are no foreign impurities in it. If you find otherwise, you should immediately seek medical help. During the first 10 days after removal of the adenoids, swelling of the mucous membranes may occur; its unpleasant effect will be eliminated by the use of vasoconstrictor drugs.
The recovery period after adenotomy proceeds individually for everyone and takes different time periods.
Hematoma - a complication of adenotomy
Of course, the adult who is responsible for the child’s adaptation to normal life should provide him with constant monitoring and care. While the child is on sick leave, parents must monitor his nutrition, the absence of unnecessary physical activity, and the taking of appropriate medications. And also, they must maintain the necessary temperature conditions in the room. The child’s condition after removal of the adenoids may be aggravated by unpleasant pain, which provokes depression and fears. Therefore, rehabilitation should proceed as comfortably as possible, with regular monitoring of the child’s mood and behavior.
Parents often have questions about how to restore their child’s nasal breathing after surgery. Most often, it is restored with the help of special gymnastics for the nose, consisting of just a few simple exercises. Particular attention in caring for an operated child, of course, is given to nutrition and an appropriate diet, since after intervention in the area of the nasopharyngeal tonsils, the risk of dangerous infections increases, which can lead to serious consequences.
The use of recommendations regarding the recovery of a child requires exclusively verified facts, and in order to know what recommendations are used after removal of the adenoids, you need to consult with the doctor performing the surgical intervention. If parts of tissue have accumulated in the nasopharynx after surgery and were not removed immediately, if bleeding is detected, you should immediately consult a doctor for appropriate assistance. If there is no suspicion of edema or its symptoms have been eliminated, it is recommended to use drugs that dry out the mucous membrane.
Nutrition
After removal of the adenoids, a strict diet based on the rules of a balanced diet must be followed. During the first days of the postoperative period, you can eat only soft, not too hot foods to avoid damage to the operated area. It is better to consult with the doctor performing the removal procedure what specific foods you can eat after removal of the adenoids, as he will be able to see the general picture of the child’s condition and the future dynamics of recovery. Any solid food should be pureed to a liquid consistency; foods with high acidity, fat content and pungency should be removed from the diet. The question of what to feed a child after removal of the adenoids worries parents especially when they refuse to eat due to pain.
Food - liquid, gentle
Dietary food after adenotomy can be healthy and tasty; to develop a menu, you should pay attention to the following dishes:
- Vegetable and fruit puree
- Weakly concentrated poultry and meat broths
- Decoctions of vegetables and herbs
- Liquid porridge, mainly oatmeal or semolina
- Broth soups with vegetables
- Steamed cutlets and meatballs
In order to disinfect the operated area, it is recommended to rinse with a weak solution of sage or chamomile immediately after eating, this will promote rapid healing of the injured throat.
⛄ Ice cream through the eyes of a doctor
There is a lot of talk surrounding the question of whether it is worth giving a child ice cream ⛄ during the period of recovery and rehabilitation. It is a known fact that doctors from the American Association of Oral and Maxillofacial Surgeons even recommend doing this and suggest that parents give their children small ice cubes for further resorption after such surgery. Deciding whether a child needs to eat ice cream after adenotomy is considered by each parent individually, but it must be taken into account that it undoubtedly relieves swelling, since any exposure to cold is aimed at relieving inflammation of the mucous areas of the mouth.
Ice cream after adenoid removal is beneficial
Possible complications
- Not severe headaches or dizziness
- Rapidly passing swelling and otitis media
- Mild tinnitus and sore throat
- Minor bleeding
- Disturbed psycho-emotional state
A separate item is considered nausea, as the most uncomfortable manifestation of the consequences of the postoperative period. To determine the reason why vomiting occurs after removal of the adenoids, it is necessary to pay attention to the smell of the mouth, since blood clots can accumulate in the saliva; this can be combated with the help of throat aerosols and gentle herbal gargles. If the child still gets sick after removal of the adenoids, it is important to take into account the duration of his weakened condition. After two weeks of continued satisfactory health, the patient should be shown to the attending ENT doctor and receive the necessary recommendations for his recovery.
Temperature
ℹ Regardless of the child’s age and general physical condition, fever is often observed after adenoid removal, which is a completely normal factor in the body’s fight against surgical intervention. When asked by parents whether the temperature can be higher than 38 degrees during the period of normal recovery after adenotomy, any competent doctor will answer that no. If hyperthermia passes the 38° mark, then first of all it is worth increasing the amount of water consumed ☕ and wiping the child with water at room temperature. Depending on how long the high temperature lasts, you need to decide on taking antipyretic drugs, it is important that they do not contain acetylsalicylic acid.
The temperature does not last long
If it has been recorded that the elevated temperature lasted more than 3 days, you should start using drugs such as Nurofen or Panadol in the form of syrup.
Cough after adenoid removal
It is not often that a side effect such as cough occurs ☔, but if you still have to deal with the effects of the syndrome, you should pay attention to the presence of chronic diseases of the upper respiratory tract (sinusitis, sinusitis, frontal sinusitis). Dry cough after adenoid removal is a common common cause of exposure to snot running down the wall of the throat. All this can provoke a reflex cough, especially when the child is in a supine position. To fix this problem use:
- Local preparations
- Inhalations
- General medications
Of course, each of the medications is prescribed individually, in accordance with the recommendations of the attending physician.
ENT, otitis media, runny nose
Some parents are faced with a problem when, after removal of the adenoids, the nose does not breathe as well as before the operation, and often the reason for this is that the parents do not follow the recommendations for the rehabilitation of the child. 10 days after the adenotomy, you should perform gymnastics for the nose, including no more than 5-6 basic exercises.
If after adenotomy the nose does not breathe for a long time, there may be several reasons for concern:
- Postoperative swelling
- Allergic reactions
- Deviated septum
- Incorrectly performed operation
Breathing exercises
The nose can be stuffy due to a whole list of reasons, which often lead to further chronic runny nose. This list includes:
- Hypertrophic changes in the nasopharynx
- Malfunctions of the bronchopulmonary system
- Deformation of the nasal septum
- Malfunctions in the functioning of protective and immunological functions
If, after removal of adenoids, a child experiences ❄snot with a high percentage of mucus content, it is necessary to exclude the possibility of complications, exposure to viral diseases, and most importantly, relapses of adenoid vegetations. In some cases, the nose gets stuffy and this is normal, since it takes time to completely restore proper breathing and relieve swelling, but if stuffiness after removal of the adenoids turns into a systematic problem, then it’s worth consulting a doctor and carrying out a series of preventive procedures.
Possible consequences
Many parents treat the adenotomy procedure with excessive caution and believe that the consequences of removing adenoids can be extremely sad. About a year after the removal operation, some develop acute otitis media ⛈, as swelling of the injured tissue disrupts the activity of the eustachian tube. In fact, this is not a reason to refuse surgical intervention. At the beginning of treatment, drops should be used according to the doctor’s prescription; most often they use Otipax. For several years, it is recommended to attend physiotherapeutic procedures, including the use of effective folk remedies, but only after consultation with a doctor.
Otipax and Anauran drops after removal of adenoids
The nasality that remains after removal of the adenoids is more functional in nature, since the nose is not ready to allow large volumes of air to pass through immediately after surgery ☹️. Most parents notice an initial change in the child’s voice, which after a while returns to normal as soon as the swelling in the nasopharynx subsides. Some people experience hearing loss after surgery, so often frightened parents are concerned about whether their hearing is restored. Here you should rely on the fact that this manifestation can also be a variant of the norm and hearing properties are normalized after the runny nose passes.
☝ In order to combat the occurrence of a speech defect in the form of rhinolalia, it is necessary to practice correct sound pronunciation after surgery and restore nasal breathing. There is also an opinion that the removal of adenoids can lead to the development of bronchial asthma; in fact, adenotomy can contribute to a calmer course of asthmatic processes in those children who were sick at the time of the operation to remove the adenoids.
General recommendations
As practice shows, life after removal of adenoids becomes much more pleasant and calmer, both for parents and for the child suffering from adenoid growths. The question of whether it is possible to walk with inflamed adenoids becomes painfully exciting when any presence of a child in an open space can lead to serious consequences. And walking with chronic adenoiditis becomes a completely dangerous activity and leads to the constant confinement of the child within four walls.
After removal of the adenoids, the child is no longer limited in his own actions and can choose those sports that involve previously unacceptable temperature conditions, ⛷ be it ice skating or hockey. Many people are concerned about when it is possible to return to school and from what moment the conditions of school education will be available for a child who has undergone this surgical intervention. ✈ Of course, everyone goes through different stages of recovery individually, but we can talk about returning to their previous lifestyle at least a month after removal of the adenoids. In any case, the child receives sick leave for the period necessary for his recovery and during this period he is protected from any physical activity, following a diet and bed rest.
Infographics
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Source: http://nasmork.guru/operaciya/posle-udaleniya-adenoidov